BTTR2018-0002 - ISSUED PERMITADDITIONAL SITES
CHRONOLOGY
CONTACTS
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
APPLICANT MORROW RANCH LA QUINTA, LLC 55075 MONROE ST LA QUINTA CA 92253 (949)533-5050
CONTRACTOR OWNER BUILDER (949)533-5050
OWNER MORROW RANCH LA QUINTA, LLC 55075 MONROE ST LA QUINTA CA 92253 (949)533-5050
CONDITIONS
Description: MORROW / TEMPORARY TRAILER FOR CONSTRUCTION PURPOSES
Type: TEMPORARY TRAILER Subtype: Status: EXPIRED Applied: 9/5/2018 AMA
Parcel No: 767580013 Site Address: 55075 MONROE ST ST LA QUINTA,CA 92253 Approved: 9/5/2018 AMA
Subdivision: Block: Lot: Issued: 9/5/2018 AMA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $1.00 Occupancy Type: Construction Type: Expired: 3/4/2019 AMA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details:
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY
CLTD
BY
RECORDS
MANAGEMENT FEE
101-0000-42416 0 $10.00 $10.00 9/5/18 R39204 1036 CHECK
MORROW RANCH LA
QUINTA, LLC
AMA
Total Paid for RECORDS MANAGEMENT FEE: $10.00 $10.00
Printed: Monday, April 26, 2021 9:00:43 AM 1 of 2
Permit Details
City of La Quinta
PERMIT NUMBER
BTTR2018-0002
ATTACHMENTS
BOND INFORMATION
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
SPECIAL INSPECTION JFU 12/4/2018 12/5/2018
DISAPPROVE
D
MOBILE HOME IS NOT CERTIFIED BY HCD
AND MAY NOT BE ABLE TO STAY LOCATED
ON THIS SITE. WILL CONSULT WITH
BUILDING OFFICIAL AS TO HOW WE WILL
PROCEED AND FOLLOW UP WITH
APPLICANT.
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE
RETURNED
DATE
STATUS REMARKS
NOTES
PARENT PROJECTS
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY
CLTD
BY
TECHNOLOGY
ENHANCEMENT FEE
502-0000-43611 0 $5.00 $5.00 9/5/18 R39204 1036 CHECK
MORROW RANCH LA
QUINTA, LLC
AMA
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00
TEMPORARY TRAILER 101-0000-42400 0 $78.02 $78.02 9/5/18 R39204 1036 CHECK
MORROW RANCH LA
QUINTA, LLC
AMA
Total Paid for TEMPORARY TRAILER: $78.02 $78.02
TOTALS:$93.02 $93.02
Printed: Monday, April 26, 2021 9:00:43 AM 2 of 2
Permit Details
City of La Quinta
PERMIT NUMBER
BTTR2018-0002
78-495 CALLE TAMPICO D "`
1UV,/ VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/5/2018
Permit Type/Subtype: TEMPORARY TRAILER/ Owner:
Application Number: BTTR2018-0002 MORROW RANCH LA QUINTA, LLC
Property Address: 55075 MONROE ST ST 55075 MONROE ST
APN: 767580013 LA QUINTA, CA 92253
Application Description: MORROW / TEMPORARY TRAILER FOR CONSTRUCTION PURPOSES
Property Zoning:
Application Valuation: $1.00
Applicant:
D L1
Contractor:
MORROW RANCH LA QUINTA, LLC OWNER BUILDER
55075 MONROE ST
LA QUINTA, CA 92253 S E P 05 2018
CITY OF LA QUINTA Llc. No.:
DESIGN AND DEVE1 ORIFNT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
50 .:
as owner of the property, or my employees with wages as their sale
pemsation, will do the work, and the structure is not intended or offered for sale.
Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
or he did not build or improve for the purpose of sale.).
as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
t e Contractors' State License Law.).
am exempt under Sec. B.&P.C. for this reason
Date: Owner:
CONSTRUCT ENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Ad
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier:_ Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
ofshaf employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Appllcant;
WARNING: FAILURE. TO SECURE WORKERS ENSATI0N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above -mentioned property for inspection purposes.
Date: Signature (Applicant or Age
Application Number: BTFR2018-0002
Property Address: 55075 MONROE ST ST
APN: 767580013
Application Description: MORROW / TEMPORARY TRAILER FOR CONSTRUCTION PURPOSES
Property Zoning:
Application Valuation: $1.00
Applicant:
MORROW RANCH LA, QUINTA, LLC
55075 MONROE ST
LA QUINTA, CA 92253
Date: 9/5/2018
Owner:
MORROW RANCH LA QUINTA, LLC
55075 MONROE ST
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
A6 MON
Detail: THIS PERMIT IS FOR A TEMPORARY CONSTRUCTION TRAILER ONLY AND DOES NOT INCLUDE ELECTRICAL OR PLUMBING INSTALLATIONS. THIS
PERMIT IS ONLY VALID WHILE THERE IS AN ACTIVE CONSTRUCTION OR GRADING PERMIT ON PREMISES. MUST COMPLY WITH CITY OF LA QUINTA
MUNICIPAL CODE SECTION 9.60.200 "TEMPORARY CONSTRUCTION AND GUARD OFFICES". TIE DOWN SYSTEM, DECK, AND RAILINGS WILL BE INSPECTED ON
SITE AND MUST COMPLY WITH ALL APPLICABLE CODES. PER 2016 CALIFORNIA BUILDING CODES
DESCRIPTION 1 ACCOUNT I QTY I AMOUNT
RECORDS MANAGEMENT FEE 101-0000-42416 1 0 $10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION ACCOUNT QTY AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION ACCOUNT QTY AMOUNT
TEMPORARY TRAILER 101-0000-42400 0 $78.02
Total Paid for TEMPORARY TRAILER: $78.02
Tlit(f 4 SepaUMrw BUILDING &
SAFETY DEPARTMENT. 78-
495 CALLE TAMPICO (760) 777-7012 LA
QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 PROPERTY
OWNER'S PACKAGE Disclosures &
Forms for Owner -Builders Applying for Construction Permits IMPORTANT!
NOTICE TO PROPERTY OWNER Dear
Property Owner: An
application for a building permit has been submitted in your name listing yourself as the builder of the property improvementsspecifiedatWe
are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities
and possible risk you may incur by having this permit issued in your name as the Owner -
Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed,
and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless
you, the property owner, obtain the prior approval of the permitting authority. OWNER'
S ACKNOWLEDGMENT AND VERMCATION OF INFORMATION DIREECTIONS.
Read and initial each statement below to signify you understand or verify this information. I
understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" Wilding
perrnit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an
Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and
his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries.
I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on
my property. 2.
1 understand building permits are not required to be signed by property owners unless they are responsible for the nstruction
and are not hiring a licensed Contractor to assume this responsibility. 3.
I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect yself
from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own.
4.
I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on rmits
and contracts. 5,
mS. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value yconstruc(
ion is at least five hundred dollars ($500), including Iabor and materials, I may be considered an "employer" under
state and federal law. ernI
understand if I am considered an "employer" under state and federal law, I must register with the state and federal 90vment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation
for each "employce." I also understand my failure to abide by these laws may subject me to serious financial risk.
I
understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential isrCturescannotlegallybuildthemwiththeintenttoofferthemforsale, unless all work is performed by licensed subcontractors
and the number of structures does not exceed four within any calendar year, or all of the work is performed undercontractwithalicensedgeneralbuildingContractor.
I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
ancial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
rvice, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
4 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by allVcablelawsandrequirementsthatgovernOwner -Builders as well as employers.
nL 12. I agree to notify the issuer of this form irrunediately of any additions, deletions, or changes to any of the information I
ve provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner Date: q 5 lg
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent ofthe property owner to apply for a construction permitfor the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
PERMIT #
PLAN LOCATION:
Project Address: 07 t Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Applicant Name: 1410A44)
Address: 5,6---0-7-5-e,
City, ST, Zip: at4 m..;
Telephone: Of Sd v
Email: 1 j69 rr QG W MT. CQM
Valuation of Project $
Contractor Name: geti`e_ L."1AZg A4INV New SFD Construction:
Address:
r DD I —VS Auj5 Conditioned Space SF
City, St, Zip : 1' -Ol 0 64 gnpl Garage SF
Telephone: ZG D l l/3 Patio/Porch SF
Email: $L-AZZ W / -0 0 qm A,(L r Fire Sprinklers SF
State Lic: City Bus Lic:
r] (V eN f arc- clwlvr-14-
Arch/Eng Name: Construction Type: Occupancy:
Address: Grading:
City, St, Zip
Telephone: Bedrooms: Stories: Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: New Commercial / Tenant Improvements:
Address: Total Building SF
City, ST, Zip Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
Submittal Req'd -Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
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